Organization
SENIOR BEATS LLC
Active
Organization
SENIOR BEATS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN JACKSON MBA LCSW (ADMINISTRATOR)
(864) 419-0167
Entity
Organization
Contact information
Practice address
716 E FAIRFIELD RD STE 107, GREENVILLE, SC 29605-3688
(864) 419-0167
Mailing address
716 E FAIRFIELD RD STE 107, GREENVILLE, SC 29605-3688
(864) 419-0167
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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